DIN/PIN/NPN Detail |
|
| 68:00 HORMONES AND SUBSTITUTES | |
| 68:20:14 ANTI-DIABETIC AGENTS INSULINS (LONG ACTING) | LU Criteria Text |
| Interchangeables: | NO |
| Manufacturer: | Sanofi Aventis Pharma |
| Formulary Listing Date: | 2009-04-01 |
| Drug Benefit Price or Unit Price: | 92.8500 |
| Amount MOH Pays: | 92.8500 |
| Coverage Status: |
|